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Joining us on the show for this episode is one of the world's leading pain researchers, Lorimer Moseley, PhD. Having spent thirty plus years in his pursuit of understanding pain through the studies of neuroscience, physiotherapy, and pain science, Lorimer is currently a Professor of Clinical Neurosciences and the Foundation Chair in Physiotherapy at the University of South Australia. He's recently launched his non-profit grassroots movement called ‘Pain Revolution' which is ensuring that all Australians have access to the knowledge, skills, and local support to prevent and overcome persistent pain. For this conversation, we explore some of the key principles of his updated model of pain which draws from 50 years of research and data. It's deeply transformational work that has the potential to dramatically shift our relationship to what makes us hurt. If you wish to continue your journey into the world of pain science, head over to painrevolution.org or check out some of his lectures and Ted Talks over on YouTube. Show Topics - Lorimers Background - Central Sensitization - Pain Variability Between People - Making the Case Against the Structural Explanations of Pain - Pain is a Protective Mechanism, Not Injury Detection - Four Essential Pain Facts - Manual Therapy and Pain - Pain Revolution and Community Building - Challenging Modality Empires - Evidence Based Practice - The Social Element of Healing - What Can Those In Pain Do Right Now?
Emily had a car accident. Emily is safe and not hurt, but her car has seen better days. She was able to use what she learned writing Burnout, as well as other books and therapy to help with recovery.Let's talk about neuroplastic pain and the stress response cycle.(Do you subscribe to Emily's newsletter? You can sign up here for free.)Links:FSP2025: We're Stronger Than the FireApple Podcasts • Spotify • YoutubeIn an Unspoken Voice by Peter A. Levine, Ph.D. Complete the stress response cycle - See chapter 1 of BurnoutSomatic experiencingFriendly's No Bad Parts by Richard SchwartzEmily's newsletter post about neuroplastic painThe Way Out by Alan Gordon and Alon ZivExplain Pain Supercharged by G. Lorimer Moseley & David S. ButlerCurable app
One in five people in Australia and New Zealand will experience chronic pain at some stage in their lives; and it's recognised as a major global health issue. Unrelieved pain can affect every area of a person's life with major social, financial and emotional consequences. Researchers at the University of New South Wales and Neuroscience Research Australia have done a randomised trial focusing on the experiences of people with chronic pain - and the role emotional processing plays in managing chronic pain conditions. Professor Lorimer Moseley is a professor of Clinical Neurosciences at the University of South Australia and the Chair of PainAdelaide. In this episode of Weekend One on One, he spoke with Peggy Giakoumelos on the role of psychology in chronic pain management.
In this special retrospective episode of The Thinking Practitioner, Whitney Lowe and Til Luchau look back season five's thought-provoking discussions, expert interviews, and groundbreaking insights into the world of massage therapy and bodywork. Reflecting on their most impactful episodes and a guest list that included Tom Myers, Sharon Wheeler, Jill Cook, Antonio Stecco, Greg Lehman and more, they explore highlights such as pain science with Lorimer Moseley, innovative anatomical approaches with Gil Hedley, and Til's profound personal and professional journey through grief. With a mix of deep dives into manual therapy techniques and candid personal stories, this episode celebrates the depth and breadth of the profession and the podcast's community. Key Topics and Time Codes: •[00:01:00] Introduction and celebrating five seasons of The Thinking Practitioner. •[00:04:00] Reflections on how bodywork has personally transformed Whitney and Til over the years (Episode 134). •[00:06:00] Gil Hedley's overview of cranial nerves, and his groundbreaking Nerve Tour (Episode 110). •[00:10:35] Highlights from the conversation with Lorimer Moseley on explaining pain (Episode 111). •[00:15:20] Insights into proprioception and fascia from Rochelle Clausen and Nicole Trombley (Episode 119). •[00:17:00] "Movement optimism" with Greg Lehman and rethinking rehabilitation (Episode 114). •[00:20:20] Rolfer Sharon Wheeler discusses the legacy of her ScarWork and Bone Work (Episode 133). •[00:25:00] Low back pain updates: A practical discussion on treatment and understanding (Episode 127). •[00:30:00] Reflections on grief and its profound impact on personal and professional life (Episodes 125, 130, and 132). •[00:33:00] Jill Cook's insights into tendon pain and the evolving understanding of tendinopathy (Episode 128). •[00:36:30] Celebrating the diversity of guests, their contributions to the field. •[00:38:00] Looking forward to Season 6 and inviting listener input for future episodes. Join us for a heartfelt and inspiring look back at the evolution of The Thinking Practitioner and a preview of what's to come in Season 6.
In this episode, we discuss pain science and all of its complexities. We explore: The definition of pain and chronic painPain in total knee replacement recoveryPatient and therapist expectations and their role in painPerception and awareness in painLanguage and visualisation strategies and resources in painSpinal painRole of pain in knee OAImportance of education in pain managementProfessor Lorimer Moseley is a Bradley Distinguished Professor at the University of South Australia. He is interested in pain and other protective feelings. He has written over 400 scientific articles and 7 books. His foundational discoveries and outreach initiatives have led to awards in 15 countries. He leads the non-profit Pain Revolution and in 2020 he was made an Officer Of the Order of Australia for distinguished contribution to pain and its management, education, science communication and physiotherapy, to humanity at large. He lives, works, and rides a very cool e-scooter, on Kaurna Land in Adelaide, South Australia.Associate Professor Tasha Stanton leads the Persistent Pain Research Group at the South Australian Health and Medical Research Institute (SAHMRI) and is co-Director of IIMPACT in Health at The University of South Australia, Adelaide. She is a clinical pain neuroscientist, with original training as a physiotherapist. Her research focuses on pain – why do we have it and why doesn't it go away? She has a specific interest in chronic pain, osteoarthritis, pain science education, and novel technologies, such as virtual and mediated reality, to enhance exercise engagement.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network
"Hvis vi anerkender, at smerte er en beskyttelsesmekanisme, og ikke et mål for vævsskade, og hvis du kan formidle det til folk, så kan vi ændre spillet" – citerer dagens godt professor Lorimer Moseley for at sige, I denne episode af "Få Det Til At Ske" dykker vi ind i, hvordan store skala adfærdsændringer kan ændre vores tilgang til et af de mest presserende sundhedsproblemer: kroniske smerter. Omkring hver femte voksne i Danmark lever med kroniske smerter. Et problem, der ikke kun påvirker den enkelte, men også arbejdspladser og sundhedssystemet generelt. Sammen med professor Jan Hartvigsen fra Syddansk Universitet udforsker vi, hvordan ny viden om smerter nødvendiggør et paradigmeskifte både i vores personlige liv og på systemniveau.Lytterudbytter:Indsigt i smerternes verden: Forstå dybdegående hvordan kroniske smerter påvirker individer og samfundet, og hvorfor det kræver et markant skifte i både tænkning og handling.Udfordringer ved paradigmeskiftet: Lær om de største barrierer for at ændre opfattelsen af smerter hos patienter, klinikere og i sundhedssystemer.Praktiske løsninger: Få konkrete eksempler på, hvad patienter og klinikere kan gøre anderledes for at håndtere smerter mere effektivt baseret på nyeste forskning.Fremtidige perspektiver: Udforsk de potentielle positive forandringer, såsom forbedret arbejdsglæde og lavere sygefravær, der kan opnås gennem disse adfærdsændringer. Episoden er spækket med indsigter om hvordan du kan få forandringer til at ske i forehold til at leve i og med smerter. Indsigter, der også kan bruges på mange andre adfærdsforandringer i og uden for organisationen.
Lorimer Moseley ist fasziniert von Menschen. Er studierte Physiotherapie, Neurowissenschaften, Schmerzwissenschaften und ist Naturwissenschaftspädagoge. Nach sieben Jahren Physiotherapie kombinierte Lorimer die klinische Arbeit mit Forschung – absolvierte einen Doktortitel am Pain Management Research Institute der University of Sydney und begann sich tief in die Mechanismen von Schmerz und dessen Aussagekraft einzuarbeiten. Klaas interviewte Lorimer und versucht mit ihm eine weitere Perspektive auf das Thema Schmerz einzunehmen. Have fun!
In this episode, Til and Whitney dive into strategies for addressing low back pain (LBP) with hands-on work, exploring LBP's prevalence, causes, and treatments. Sharing the insights they've gained from experts such as Nikolai Bogduk, Stewart McGill, Paul Hodges, Lorimer Moseley, Helene Langevin and Antonio Stecco, they lay out the diverse views on both the structural and non-mechanical origins of LBP. Listeners will also learn about therapeutic approaches, the significance of practitioner confidence, and the importance of comprehensive evaluations. Tune in for a fascinating look at how practitioners and clients alike can better understand and work with low back pain. Key Topics: 1. Prevalence of low back pain Over 60-70% of people have episodes of low back pain at some point [01:51] Leading cause of disability worldwide Huge economic impact 2. Potential evolutionary factors contributing to low back pain Transition to bipedalism and upright posture Differences in spinal curvature and hip mobility between cultures [05:45] 3. Causes and contributors to low back pain - [07:39] Overemphasis on disc and structural issues in the past Importance of comprehensive evaluation beyond just structural issues Role of soft tissue, muscular, and neural factor 4. Influence of practitioner perspective and confidence on outcomes [30:20] Importance of the therapeutic relationship and rapport Unexpected interventions can sometimes be effective [35:53] 5. Personal experiences with low back pain Overuse vs. underuse/immobility as contributors Debates about the significance of posture, load, and context [41:31] Limits of expertise vs. scope of practice for massage therapists Get the full transcript at Til or Whitney's sites! Whitney Lowe's site: AcademyOfClinicalMassage.com Til Luchau's site: Advanced-Trainings.com Resources mentioned in this episode: ABMPs' CE Summit on LBP: live Oct 1, 2024 and free to everyone in the profession: abmp.com/summit Portions also available by recording to ABMP members and next year, to A-T Subscribers Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking. Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe | About Til Luchau | Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)
I am happy to have Dr. Lorimer Moseley AO back in this episode of the Healthy, Wealthy, and Smart podcast. In this episode, Lorimer shares insights into his recent research projects and developments in pain science. We discuss the Fit for Purpose model and the evolution of pain education, emphasizing the importance of educative interactions in clinical practice. Tune in to learn more about Lorimer's current projects and his upcoming classes in North America. Time Stamps: 00:00:00 - Introduction and Welcome Lorimer is welcomed back to the podcast, and the host expresses excitement about discussing his recent projects and developments since 2021. 00:01:09 - Exciting Discoveries in Recent Research Lorimer discusses the nature of discoveries in clinical science, mentioning upcoming publications and the streams of research that currently excite him, particularly in pain education. 00:02:04 - Insights from Clinical Practice and Pain Education Lorimer shares insights from clinical practice data, highlighting significant findings about patient outcomes related to their understanding of pain as a protective feeling. 00:04:05 - Learning About Learning The importance of learning in clinical interventions and its impact on treatment outcomes is discussed, emphasizing the need to shift focus from education to learning. 00:06:39 - Upcoming Clinical Trial Publication Lorimer teases a forthcoming paper on a clinical trial for chronic back pain, detailing the innovative approach taken in the trial to improve treatment credibility and effectiveness. 00:10:56 - Research on Social Determinants of Health Discussion shifts to the impact of social determinants on health outcomes, with specific focus on back pain and the broader implications for treatment accessibility and effectiveness. 00:16:31 - Pain Revolution Outreach and Challenges Lorimer talks about the Pain Revolution program, its goals, and the challenges faced in reaching rural communities, especially during the COVID-19 pandemic. 00:27:21 - Cognitive Flexibility in Pain Management The concept of cognitive flexibility is explored, discussing its relevance to pain management and the challenges in accurately assessing it. 00:39:43 - Personal Experience with Pain and Cognitive Flexibility The host shares a personal story about dealing with potential pain triggers at Disneyland, highlighting the role of cognitive flexibility and support in managing pain responses. 00:50:22 - Recap and Future Directions The conversation wraps up with a recap of the discussed topics, emphasizing the complexity of pain management and the ongoing efforts in research and education to improve patient outcomes. More About Dr. Lorimer Moseley AO: DSc PhD FAAHMS FACP HonFFPMANZCA HonMAPA Bradley Distinguished Professor Professor of Clinical Neurosciences Foundation Chair in Physiotherapy University of South Australia Founder and CEO, Pain Revolution Chair, PainAdelaide Lorimer's main interests are persistent pain and other protective feelings. His research group investigates pain in humans, from cognitive and behavioural experiments to clinical trials and implementation studies. He has authored over 410 scientific articles and seven books. His contributions to the science of pain, to the treatment of persistent pain, to pain education, and to public outreach, have been recognised by honours in 13 countries. He has delivered keynote lectures at world congresses in six fields. In 2017, he founded the non-profit Pain Revolution and in 2020 he was made an Officer of the Order of Australia, that country's second highest civilian honour, for ‘distinguished served to humanity at large in the fields of pain and its management, science communication, education and physiotherapy.' His public facing pain education videos attract millions of views each year. He lives and works on Kaurna Land in Adelaide, South Australia. Resources from this Episode: Pain Revolution Website Fit For Purpose Model Pain Science in Practice Courses in North America Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
World leading neuroscientist, pain researcher and educator, Prof. Lorimer Moseley, discusses the complex relationship between our minds, our bodies and pain.
"Welcome to Pain Matters, the podcast where we delve into the latest advancements and discussions surrounding pain treatment and management. Join us as we explore insightful conversations with leading experts like Professor Lorimer Moseley, who shares invaluable insights into improving outcomes for chronic pain patients. From understanding the evolution of pain treatment to addressing challenges and areas for improvement, each episode offers a deep dive into the complexities of pain management. Discover how clinical trials and multimodal approaches are reshaping the landscape of pain care, and gain practical insights on translating scientific knowledge into effective clinical strategies. Whether you're a healthcare professional, researcher, or someone living with chronic pain, Pain Matters provides a platform for meaningful discussions and actionable takeaways. Tune in and stay informed about the latest developments in pain treatment on Pain Matters." Questions: mail@mastersessions.academy Bookings: http://mastersessions.academy
Welcome to another insightful episode of Pain Matters! In today's episode, we dive deep into the clinical course of back pain, a topic that affects many of us at some point in our lives. Professor Lorimer Moseley, who sheds light on a groundbreaking clinical course with a staggering 10,000 participants. The study meticulously divides patients into two categories: those experiencing back pain for less than six weeks and those enduring it for more than six weeks. The focus? Recovery chances. A recent meta-analysis by Dr. Sarah Wallwork, utilizing data from a massive 20,000 people, unveils not two but three distinct groups. The twist? The definition of chronic low back pain has been extended to three months and beyond. This shift in perspective brings both good and challenging news. The revelation? After the three-month mark, the odds of recovery take a significant hit. While some of this might not be entirely surprising to the experts, it's a revelation that carries weight, especially for the general public. The question lingers: Is the three-month cut-off the definitive marker for chronic low back pain? Well, that's still an unanswered puzzle. But hold on, there's good news too. In the midst of uncertainties, Professor Moseley unravels some positive aspects. Curious to know more? You don't want to miss this episode! Tune in and let's explore the fascinating world of back pain together.
Pain Matters Episode 8 features hosts Lorimer Moseley and Bart van Buchem interviewing their guest, Brian Pulling. Brian, an American researcher finishing his PhD, shares insights into a research project focused on understanding how individuals think about pain, specifically in the context of osteoarthritis. The episode delves into the development of a questionnaire to explore people's conceptualizations of osteoarthritis pain. Brian emphasizes the importance of face validity in questionnaire development and shares insights from cognitive interviews, highlighting diverse perspectives on pain. The conversation, hosted by Lorimer Moseley and Bart van Buchem, provides valuable insights into the complexities of understanding and measuring pain experiences.
Welcome back to another insightful episode of "Pain Matters" with Lorimer Moseley! In this follow-up episode, we're delving deeper into Pain Hyper Sensitivity, building on the thought-provoking discussions from our previous installment that sparked numerous reactions and questions from our engaged audience at mail@mastersessions.academy. Join us as we explore the clinical presentations and diagnostic properties related to Pain Hyper Sensitivity. Lorimer sheds light on the examination process and provides explanations that aim to demystify this complex topic. Recognizing the need for clinicians to identify patterns, Lorimer emphasizes the importance of initiating conversations, not just through words but also by employing experiential learning strategies. Ever wondered how to effectively convey these concepts to your patients? Lorimer shares insights on what works, what doesn't, and the significance of understanding these nuances in patient care. As we approach the end of the year, let's reflect together and gather inspiration to fuel ourselves for a promising 2024. Wishing you all happy holidays, and we can't wait to continue exploring exciting topics with you in the coming year. Stay tuned and keep the curiosity alive! Check our website for early bird tickets - A two-day LIVE course in York (UK) on 14 and 15 June 2024
Welcome to a new episode of the Pain Matters Podcast, where we dive into the intricate world of pain science with leading expert Professor Lorimer Moseley to explore the concept of pain system hypersensitivity. In our journey through the realms of pain, we encounter terminology that seeks to capture the essence of patients' experiences. One such term, "pain system hypersensitivity," emerges from a meticulous study where patients themselves were asked to articulate their ongoing pain states. In this episode, we unravel the significance of this term, delving into its connections with primary and secondary hyperalgesia, as well as allodynia. The introduction of "pain system hypersensitivity" stems from a profound understanding of patients' perspectives and preferences. As we navigate through this discussion, we will explore how this term reflects the lived experiences of individuals grappling with persistent pain. Interestingly, alternatives like "nociplastic pain" and "oversensitivity" were considered but did not resonate with the patients. Our exploration today aims to shed light on the intricacies of pain system hypersensitivity, offering insights that could reshape our understanding of chronic pain and guide us towards more empathetic and effective approaches to pain management. So, join us on this enlightening journey with Professor Lorimer Moseley as we delve into the nuanced world of pain system hypersensitivity on the Pain Matters Podcast.
Pain can be felt anywhere in the body, but it all originates in the same place: the brain. Lorimer Moseley, a professor of clinical neurosciences at the University of South Australia and a specialist in how the brain produces pain signals, joins us today to talk about how pain is created as a protective strategy. Your brain, which is constantly monitoring your environment for signs of danger vs safety, sends pain signals when it detects a painful stimulus (a process called nociception). Moseley studies how to retrain the brain when it continues to send pain signals long after the damaged tissue has healed (or, in the case of phantom pain, even after the damaged tissue is gone). Plus - the dangers of a pain-free life.
We apologize for the inconvenience caused due to some audio issues in the first uploaded episode. We have fixed the problems, so you can now listen to the relaunched episode without any unexpected volume differences. Thank you for your patience and understanding. Did we get lost in translation with Central Sensitization? Professor Lorimer Moseley dives into the history and today's implications of this important scientific finding. - Introduction to Central Sensitization: The podcast episode delves into the concept of Central Sensitization and its impact on pain research and education. It's discussed as a significant shift in understanding pain mechanisms. - Historical Context: Clifford Woolf is mentioned as a significant figure in identifying the changes in sensitivity within the central nervous system, sparking extensive research to understand the mechanisms behind it. - Challenges in Terminology and Definition: There's a discussion about the terminology challenges and conflation between physiological events and clinical labels regarding Central Sensitization. The debate revolves around its definition and how it's observed in humans, with attempts made in brain imaging to comprehend its effects. - Complexity of Pain Perception: The discussion highlights the complexity of pain perception, mentioning that the idea of specific labelled neurons in the 'pain pathway' (nociceptive pathways) might not hold true due to the intricacies of the nervous system and individual variability in response to stimuli. - Evolution of Understanding Pain: The talk explores the evolution in understanding pain, moving towards concepts like neuroimmune networks and the acknowledgement of the limitations of defining Central Sensitization, leading to the consideration of new terms such as nociplastic pain for clinical findings.
Yes, your pain is all in your head - but that doesn't mean it's not "real". Dr. Lorimer Moseley, author of the best selling classic "Explain Pain" is a trailblazer in the field of contemporary pain science. In our next episode he explains how all pain is real, but you can train your mind to understand what each pain "means", and choose how to experience it.
“ … it's really fascinating actually like the human, at the biological level at the psychological level, we are built to tolerate pain, and we're built to grow stronger from enduring difficulty, we're actually made for it. That's like how it works. Joy matters too - don't get me wrong, you know, but the difficult stuff is always there. So, we might as well get good at utilizing that end of the spectrum as well.” Ralph De La Rosa Music with kind permission from Krishna Das https://www.krishnadas.com/ Gathering in the light-Om-Narayani. Krishna Das. https://krishnadasmusic.com/collections/music/products/gathering-in-the-light What is this and why read or listen? What follows is an exploration of my journey of living with chronic pain and accompanying mental health challenges. I now understand, the experience of mental ill health has contributed to the degree and severity with which I have felt this pain. I started collating my thoughts around the idea of exploring chronic physical pain, and how meditation might help as an intervention to assist people living with these conditions, to experience less suffering. As we will discuss in a bit, pain, whether is physical, emotional, or social, is experienced in similar parts of the brain. So is you know someone who experiences any of these challenges, there may be something in here that might help. So primarily, we will look at how using a meditative practice might help to reduce suffering, reclaim access to moments of joy and openness and foster the ability to be able to pursue a life worth living, in the presence of pain. Someone once sent me a post on social media with a picture and a quote saying “Life is not about waiting for the storm to pass. It's about learning to dance in the rain.” I was near vomiting with a migraine at the time, so there was no dancing to be done and the message was not received with the love it was sent with. I think it's important to mention that there is no part of my life that living with chronic pain has not affected. I remember sitting in a psychologist's office on the North Side of Brisbane, and I was quiet for quite a while, trying to curate the thoughts so that I could adequately relay how desperate I felt, but not so much so that I have a short involuntary time in hospital. The words that came out of my mouth spoke to the total sense of loss that I felt as a result of living with chronic pain and the ‘things' that I was not able to do or participate in as a result – “Am I even lovable?” I choked out, in tears. I am not sure what my psychologist answered. In mental health circles they often talk about the biopsychosocial contributors to understanding mental ill health, and that a clear understanding of these can be the bedrock to solid recovery. It's fair to say and not at all dramatic to say that living with chronic pain for the last 14 years has nearly cost me my life, my marriage, and my grip on sanity. So, the fact that I am writing this, and that this episode is being produced is testament to the fact that recovery is definitely possible. Recovery as I've come to understand it is a concept which is defined by each person as to how they might like to live despite the challenges they face, be they mental health, chronic physical health or other challenge. Having a living experience of chronic and persistent pain, has also come with many gifts. This is one of the reasons for this episode - I would like to be able to pass these gifts forward so that hopefully, wherever you are on your journey, whether it's living with chronic pain, mental health or other challenge, that you may find a point of resonance here and maybe a tool that you can add to your toolkit. The second reason is that this forms part of an assessment for an advanced diploma in meditation. Having skin in the game as it were, I feel like I may have a bit of an advantage, by way of lived experience. However this works meets you, may you be well, play be happy may you be safe and may you live at ease of heart with whatever comes to you in life. “What counts in battle is what you do when the pain sets in.” John Short The quote above comes from a book that I read about 14 years ago from Dean Karnases called Ultra Marathon Man. In the book Dean talks about nearing the end of one of the ultra marathons, that he ran, with several injuries and nothing left in the tank. Dean's dad offers some advice and empathy, but as he's about to walk away he says “what counts in battle is what you do when the pain sets in”. This has become somewhat of a guidepost for me, as I explored the terrain chronic physical and emotional pain. Towards the end, I will include a selection of resources and links. In hosting the Don't Quit on Me podcast, I have spoken with a variety of subject matter experts, in an effort to understand ways to navigate intense stress and pain, in the most intelligently, i.e with the least amount of suffering possible. A key point from the show comes to mind, talked about by Dr Dan Harvey and Insight Meditation teacher Sebene Selassie, about the experience of emotional, social pain and physical pain being processed in similar parts of the brain. In my very limited understanding, this means that tools that help to reduce suffering for physical pain, may also be useful for the experience of social and emotional pain. Skin in the Game “It is indeed a radical act of love just to sit down and be quiet for a time by yourself”. Jon Kabat-Zinn It's just after 4am and the birds are starting to sing. First one … then another… during the dawn chorus their songs seem louder, livelier and more urgent than during the day. Maybe they seize this space to sing, before the noise of the day can interrupt their beautiful, melodic songs that call each day in to being. I am awake at this time most mornings. This morning a sequence of experiences; a conjoined blur - pain from a decent tension headache that has been hanging around for days, coupled with pain from fibromyalgia, panic and it's cousin a dense cognitive fog – the residue of a nightmare – I still sense, something dark, very close, too close to see, temporarily I can't move. As consciousness returns, and with-it, limited movement, I go through the morning ritual, an attempt to ease the pain and fog, and see how much I am able to function and extract from the day. Off to the loo, two bottles of water and then into a portable infrared sauna, to warm up the heaviness living in the muscles and connective tissue, and with any luck subdue the constant companion. Infrared Sauna is also starting to be looked at as a tool for living with chronic pain conditions. (Tsagkaris et al., 2022) I have a living experience with chronic migraines, tension headaches and fibromyalgia, something that has been around for roughly the last 14 years. Each day is a balancing act between the pain, the anxiety caused by the pain, my energy levels, and as I am beginning to understand and will touch on later, any sense of imminent danger that I may perceive. Each day, an attempt to balance accomplishment without overtaxing a system in survival mode, so much that I pay for it for the coming days. There are a couple of reasons why the pain may have become such a permanent fixture in my life, and I'll explore them briefly, but one thing I have noticed, is that focusing on why is nowhere near as helpful as what now. If I look back for a point of origin with the physical pain several things happened around the time it started; my mom's passed away, I also trained for a marathon, before which I came down with a respiratory virus. Post race I had blood work done which showed Ross River virus and another virus had been present in my system but were not currently active. I am also a survivor childhood trauma which in and of itself heightens someone's baseline perception of threat and as we'll explore can accentuate and amplify the body's attempt to report pain signals. There is also a strong correlation between trauma survivors and chronic pain sufferers (Asmundson, PTSD and the experience of pain: Research and clinical implications of shared vulnerability and mutual maintenance models). In 1994 Dr Paul brand wrote the book Pain the Gift That Nobody Wants, describing his work with leprosy patients in India, and the essential role that pain has in keeping us safe. Without , he argues, we would be exposed to an unacceptable level of danger, leaving us devoid of mechanisms to warn us of impending threat. If I think about my own experience, this is certainly a truism - pain by its very nature, and the way we experience it, is deeply unpleasant, very real, and is designed to get our attention and cause us to recoil. It is a message for us to act, to protect ourselves from the perceived threat. What happens through, when these signals fall out of calibration, when they report pain too loudly or for too long - when there is no longer a present threat that requires us to act, or the message we are receiving is disproportionate to the threat? This is something I have sat with and worked through for many years, leading to this exploration of how the practice of meditation may be helpful to those, like me, who live with chronic pain. As I said earlier, through hosting the Don't Quit on Me podcast I have had the opportunity to ask many people for their insights about the nature of pain, and why creating mental space around the experience of pain can reduce suffering. I have also looked at the links between how we experience physical pain and emotional pain, and how they are felt in similar parts of the brain. Can meditation really help with pain? An article published in May 2023 on Healthline.com, looked at exactly this, Meditation for Chronic Pain Management and, spoiler alert, they found, amongst other things, the following three key points: “A 2018 study of meditation, mindfulness, and the brain suggested that in the long term, meditation can change the structure of your brain. The resulting change in cortical thickness in some brain areas makes you less pain-sensitive. The neural mechanisms meditation uses to modify pain are different from those used by other techniques. For example, a 2012 studyTrusted Source determined that meditation promoted cognitive disengagement and an increased sensory processing of the actual pain. Meditation also induces the body's own opioid system. A very small, randomized, double-blind study from 2016 used the opioid blocker naloxone or a placebo and studied pain reduction with meditation. The group with the placebo experienced significantly less pain than the group that had the opioid blocker. Research is ongoing to look at the exact physiological mechanisms involved with meditation.” (Hecht, 2020) That Sounds Painful What is Pain? Dr Dan Harvey is a Lecturer in Musculoskeletal Physiotherapy and a pain scientist at the University of South Australia. Along with Dr Lorimer Moseley, Dan is an author of the book 'Pain and The Nature of Perception: A New Way to Look at Pain' which uses visual illusions to describe features of perception that are relevant to understanding and treating pain. Dan holds a Masters of Musculoskeletal and Sports Physiotherapy, a chronic pain focussed PhD, and serves on the education committees for the Australian Pain Society and Pain Revolution. Below is and excerpt from my interview with Dan (Coriat, Dr Daniel Harvey - The path through pain 2022): I asked Dan about his preferred definition for pain. Dan said “ the official definition from the international association for the study of pain, “Pain is an unpleasant, sensory and emotional experience associated with actual or potential tissue damage.”” He went on to say: “... I prefer a simpler definition, which is just something that's unpleasant that has a location to it. The location part is what distinguishes pain from other unpleasant experiences. I guess anxiety for example is very unpleasant, but you can't point to it. You know, you could simplify my definition even further … It's (pain) something unpleasant you can point to. Because it's certainly unpleasant, but it's unique from other unpleasant experiences, in that it actually has a location, usually in the body, but obviously the exception to that is something like phantom limb pain. You can still point to the pain, but you are effectively pointing in mid air. Because you're experiencing it in a location of the body which no longer exists.” The Mental and Psychological Experience of Pain I asked Dan about the similarities between psychological and physical pain. “There's a lot of overlap. … one of the early discoveries when we started using imaging techniques to see what was happening in the brain of people in pain, was that we discovered that there is no one pain area, but rather it's many different areas that seem to be active. And there's something about that combination of brain areas that gives rise to the experience. Many of those areas that are active overlap with areas associated with anxiety and fear and other unpleasant experiences. And I guess that's one reason why we might see a higher prevalence of persistent pain problems in people who tend to be higher in trait, anxiety and depression, and maybe even have clinical levels of anxiety and depression. We think there's some sense in which brain areas that are active, and resulting in anxiety, facilitate the networks associated with pain and sort of have this facilitating effect. On this point, when I spoke with much loved Insight Meditation teacher Sebene Selassie, I asked her the following question (Coriat, Dr Daniel Harvey - The path through pain 2022): Nick: “I've heard you say in an interview. You were talking about the pain you experienced during cancer, and how it started to become a predictive response, you would feel some pain and you would assume that that would continue, and it would be without break. However, when you deepened your practice, you discovered that you could find spaces between the pain. Could you talk about this. And also, I think if there's a link to how many of us are experiencing pain, and when we do feel pain, obviously there's an instinctual response to assume it's going to be ongoing and be to kind of self-medicate...” Sebene: “I could talk about physical pain, and just to name that this is true for social pain as well, because actually, our brains process them in the same way. So physical pain and social pain are processed in the same parts of the brain. So, you know, our perceptions of them are really similar and so predicated on what's happened in the past. You know, we build kind of our perceptual reality based on what we've seen before. So, you know, I have a mic in front of me, if I've never seen a mic before, you know, but then I learned what it is every time I see something shaped like this, I'm going to assume it's a mic, and I don't have to kind of go through the relearning process to figure it out. Our brain kind of builds up that knowing something, and that's useful for a lot of things, but it's not very useful in kind of a moment-to-moment sensory experience of a sensation or emotion, or, other people's emotions or speech or relationship with us. And so again, whether it's physical pain or social pain, like our interactions with others, we really want to develop, through this capacity of mindfulness, of embodied awareness of what's happening, the capacity to sense what's happening moment to moment. Instead of, you know, I see Nick and the last time Nick and I met, you know, we had a little bit of a misunderstanding, and now I'm going to interpret every different look of his as some kind of critique of me. Rather than meeting you fresh and deciding, you know, Nick has bad days too, and I'm gonna see what today brings rather than the assumption of, you know, what my experience has been in the past. And that's what I experienced with physical pain that I went through some periods of really, really painful surgeries or treatments or emergency conditions that emerged in my body and even lying in the hospital or at home experiencing this pain, I could kind of predictably assume, oh, there's that sensation in my belly. I know what that's going to lead to. And so, start to kind of almost anticipate and tense and create more tension and pain and not really have a moment to moment kind of intimate experience of what was happening. And when I could slow down, actually connect to this embodied awareness, feel the sensation in my belly, I could see that, Oh yeah, it's this throbbing strong pain, but now it's actually dissipated. When I breathe really deeply, actually it creates some space there and now my foot's going numb. I actually don't even really feel this pain in my belly right now. So, rather than having kind of this fixated fear, tense attention to things there internally our own physical or emotional experience, or externally what's going on with someone, we kind of create more spaciousness, create kind of more awareness, bring some relaxation and ease to what's happening, and that can often change everything for us.” The Mechanisms of Pain Back to the chat with Dan, I asked him if there was a simple way to understand the mechanisms that drive or report the experience of pain. “I'm not sure if there's a simple way, but a way we like to break it down in the physio program is thinking about inputs, processing and outputs. So, what this does is just let you think about the different components that might be happening in the background that lead to an experience of pain. The input is (comprises) the information that arrives at the brain, so some of that information comes through nerves in the body. Some of it also comes through our eyes and ears, because our brain is always gathering data, about what's happening in our bodies and what's happening in the world. So, we can refer to those things as inputs. Of course, information from the body is really important, particularly in acute pain. But the other inputs are also really important. I could give an example there. A paper cut might hurt extraordinarily, but someone could actually fracture a bone in their foot, in a football game and not notice it. So, there's something about the totality of data, not just the information itself from the body, but what it's combined with at a given time. So that's the inputs. The processing is about what's happening in the brain. So, how is the brain interpreting that data, and how's it making sense of it. In order to make sense of it, the brain considers not just the inputs, but also, what those inputs mean with respect to information that's already stored in the brain, from past experience, from knowledge, from what the doctor told you, from what you read on a scan, all of these things are also influential, when the brain is interpreting what's happening in the body. So, all of those things can potentially have an influence as well. So that's inputs and processing. Then we can think about outputs. And these days we actually think about pain as an output because anatomical textbooks used to describe pain as an input from the body in the quote unquote pain nerves, which we now call nociceptors or danger detectors. But the pain isn't pain until we experience it. And so, because of that fact, we tend to think of it as an output. My physio students always say an output to where though? And I think that the best way to phrase that is it's an output from our brains into our conscious awareness - and that's much more philosophical than it is scientific, but I think we know so little about the brain that sometimes philosophy is the best way to explain and articulate these sort of things. You know, pain exists amongst a range of outputs. So often when you have pain, you also have some level of fear about it. You might have muscle tension associated with it, along with stress responses, go hormonal responses like cortisol, and then that can interact with the immune system. And so what's happening there can then feed back into the system in a sort of circular way.” Reality leaves a lot to the imagination. I asked Dan about a quote that iI heard him make in a lecture “Reality leaves a lot to the imagination. ” I think some background to this is that the brain is bombarded with so much sensory information at a given time, that it needs some sort of method to make sense of all that data, because there remember what comes to the brain from our sensors is merely electrical impulses. It's (the brain's) task is to filter out the irrelevant ones and make sense of the relevant ones. What seems to seems to be happening is the brain uses its past experience and knowledge that it already has stored to determine what's the irrelevant information that it can filter out, and how it might make sense of the relevant information and give us feelings and perceptions that help us make sense of the world and our bodies and help to guide our actions in a way that you know, helps us to flourish and promotes our survival and all that. So again, it's quite, it's quite philosophical … I think there's still a lot to be drawn out of that way of thinking that can help people with pain. I think we are really just at the start of that. I guess it's only fairly recently that we've moved from continuing to look for some ‘Magic bullet' or some specific problem in the body. We've started to open our minds to looking more broadly about what's happening in the immune system and in the brain and our perceptual system more broadly.” A New Reality? Based on what Dan was saying it's interesting to also note that a study in 2018 at Harvard showed that short daily doses of meditation can literally grow the grey matter in the areas of the brain associated with self-awareness and self-compassion, and can reduce the grey matter in the parts of the brain associated with stress. This to me and, obviously to the researchers is incredibly promising for those who are walking a path accompanied by pain of any kind - that a no/low cost intervention, that is simple to instigate, with little known side effects, can have this profound an effect. (Powell, Harvard researchers study how mindfulness may change the brain in depressed patients 2018) What is Meditation? Meditation sort of hit me in the face in the late ‘90s. I was working at a bank at the time, as a technical writer, and was experiencing what I have now come to understand as early signs of a severe depression episode. I wondered up the Queen Street mall in Brisbane, and there was a Virgin Music Store off to left. In there they had listening stations with a selection of some of the newest CDs to have a listen to. This lunch break I felt like I was about to break. I made my way in to the classical room which was sectioned off from the rest of the store by a glass wall. On one stand was a CD by a fella called Robert Gass, singing, with his choir, Om. The primordial syllable over and over for about 30 minutes. As I pushed passed the initial boredom, I was transported to a world where things were calm, still and all that was present was this moment. What is meditation? Well, it depends on who you ask. After having asked many people for definitions of what meditation and mindfulness are one definition of Mindfulness shared by Dr Christine Runyan I loved for it's simplicity and humanness. Christine is a clinical health psychologist, Professor in the Department of Family Medicine and Community Health at the University of Massachusetts Medical School, and the Co-Founder of Tend Health. Christine is also a mindfulness teacher at the University of Massachusetts Centre for Mindfulness. I asked Christine during the show how she defines Mindfulness, and what it meant to her: (Coriat, Dr Christine Runyan - Mental Health and covid - On Forgiveness and Healing 2021) Christine: “So, I define mindfulness both as present moment awareness, but I add the quality of compassion, if you will. You know compassion is often a term we think of around the presence of suffering. All our present moment experiences don't include suffering, so in moments where there are, I would say present moment with awareness with compassion, and maybe if there's not suffering, present moment awareness with kindness. I think that standard Jon Kabat-Zinn definition is without judgment. I find that whether you're parenting a child or sort of teaching an animal something, offering something to do rather than not to do can be a little more helpful right? So instead of don't do this, rather offer an instruction of something to do, and I've really come to that. And in my work, MBCT is a treatment for people who have recurrent depression and there is amount of judgment and self-judgment that comes alongside recurrent depression and experiencing that phenomenon. And so it can be a hard stop, cause it's sort of like they don't have a frame for how to be in a way that doesn't include self-judgment, so instead kind of an invitation to sort of have that present moment awareness with kindness can be an invitation of something to add rather than something not to do, because as soon as you sort of have that without judgment and people notice that they judge, you know then you start down the rabbit hole of judgment. So that's how I define it.” Another description about what meditation is, comes from one of my favourite Buddhist teachers Pema Chodron. “Meditation is a process of lightning up, of trusting the basic goodness of what we have and who we are, and of realising that any wisdom that exists, exists in what we already have. We can lead our life so as to become more awake to who we are and what we're doing rather than trying to improve or change or get rid of who we are or what we're doing. The key is to wake up, to become more alert, more inquisitive and curious about ourselves.” There are a couple of points that I particularly like about what Pema said: 1) We are already wise, despite what our inner monologue may tell us, and the limitations that the experience of being in pain has led us to believe. 2) Many of us are sort of asleep to what's going on in our lives. This is understandable in the presence of persistent pain. One of the initial ways to deal with the constant onslaught of noxious stimuli is to literally disassociate from what's going on in the body. A critical part of the healing journey Is to become aware of the sensations in our body and learn to meet them with curiosity instead of an inbuilt narrative and catastrophizing. 3) Curiosity and not self-condemnation is one of the keys to loosening the shackles of self-imposed suffering. And lastly, I feel that no discussion on a definition of meditation would be complete without a word from one of the founders of insight meditation in the West. Sharon Salzberg is a meditation pioneer, world-renowned teacher, and New York Times bestselling author. She is one of the first to bring mindfulness and lovingkindness meditation to mainstream American culture over 45 years ago, inspiring generations of meditation teachers and wellness influencers. I spoke with Sharon in November of last year and asked her what is the invitation that meditation offers. “Well, right from the beginning, I am going to introduce the idea of meditation as a skills training. And the first night of the first retreat, (that Sharon attended) which is 10 days long, he said, the Buddha did not teach Buddhism. The Buddha taught way of life. And that's exactly what I was looking for. You know, he said, this is open to anybody. Maybe you belong to a different faith tradition. Maybe you don't really, feel drawn to faith traditions. Doesn't matter, it's a practice and, and it's like a muscle group. You exercise, you know, So the first skill is really concentration or stabilizing attention somewhat. Most of us would say we're kind of all over the place. You sit down to think something through, and you're gone, you're just gone. And our minds jump to the past, or the future and we're anxious and we're just all over the place. And what we do in concentration training, as we gather our attention, we bring it together and we rest, we settle. So, there's a very different sense of centeredness and settledness and just kind of stability in awareness. And then there's mindfulness training, which is kind of like the word of the hour, which can mean many different things. It does mean many things. And I like to think of mindfulness as a quality of awareness where our attention to what's happening in the present moment, our perception of what's happening in the present moment is not so distorted by bias, like old fears - I should never let myself feel this thing. Or many times something happens, especially let's say, it's discomfort in the body, or we feel a shattered expectation, or we feel disappointment, or heartache. We start projecting it into the future. Like, what's it gonna feel like tomorrow? It'll be even worse. What's gonna feel like next week? What's gonna feel like next month? And before we knew it, we've got like a whole lifetime of anticipated struggle as well as what's actually going on right now - that makes it of course, much harder. So, there are a lot of ways in which we have filters or we have distortions of our perception and what we learn to do is relinquish the hold of those things so we're left with what's actually happening and that's why mindfulness is set to be the vehicle for inside understanding. You know, instead of being all caught up in like fighting our experience or being overwhelmed by our experience, we can take a look at our experience and have a very different view of it and mixed up in there always both as a kind of a constituent element and later as a fruition or a benefit is loving kindness or kindness. I don't think you can actually do these practices well without, in a sneaky way, developing some loving kindness, even if it's never talked about. It's like, the fundamental exercise in many systems. Even if they grow and they change and it becomes a much more elaborate kind of practice. The foundational note, which we keep coming back to again and again, is usually choosing an object of awareness, like I'd say the feeling of the breath, the sensation of the in and out breath, resting our attention on that object, and then when our attention wanders, which it will, learning how to gently let go and come back. That sounds easy. Isn't that easy? You know? Because the great temptation as soon as we realize, oh, I'm not with the breath, is to judge ourselves and be down on ourselves, and berate ourselves and feel like a failure. You know, to actually let go and start over means there's a good degree of self-compassion that's developing also, even if we never name it that, even if we didn't even realize that it's happening, and so, to do any of these things well means that's cooking also. So, it will be there, it has to be there. And then of course it is like a fruition because the more we see, yeah, this is not just me, you know, it's like that sense of isolation was another addon. There was something else I plopped on top of what was going on. I don't need to do that. The more we see this is the human condition we're all trying, we're all kind of a mess, you know? Uh, and we wish ourselves well. We wish others well. That starts to get more and more natural.” My Journey with Meditation I first started a meditation practice through attending a yoga class. I was having a chat with the teacher at the end of the class, and I asked her for some tips on navigating the pain and suffering that I was going through, without overdoing it. She asked if I had experienced Kirtan before. I hadn't but heard in her explanation the word meditation, and this was something I wanted to explore more, as my sister had sent me a copy of the Jon Kabbat Zin book Full Catastrophy Living a few years earlier and the promise of stillness or calm inside stressful moments was very appealing. At the time I had an orange VW bus which I drove up to a yoga school just on the outskirts of Eumundi and enjoyed one of the strangest and yet most profound evenings that I've ever had. I was both fearful and intrigued, and at one point was wondering whether it should be experienced closed or eyes open, so as not to miss what was going on. As I closed my eyes, I could see a white light connecting all of our foreheads together. Powerful and strange. Given that this was my first ‘go' at it, I made my excuses and jumped in the van to go home, a little bit freaked out but pleasantly so. In retrospect I wonder what might have happened if I'd stayed. However I listened to a CD that I had bought from the studio at the beginning of the chant, all the way home and was instantly hooked. I bought a couple of yoga magazines and found out that Krishna Das was coming to Australia, immediately booked in for a workshop and Kirtan on two separate days at Palmwoods on the sunshine coast in QLD. Again I started the weekend in a decent amount of pain and experiencing very high levels of anxiety and severe depression, however by the end of the weekend I was beaming and felt such a strong bond to the people who I had been chanting with. It was quite unfathomable. I have a beautiful picture of myself with Krishna Das at the end the weekend. For many years mantra repetition became my default meditation. Something that I could pull out of my back pocket whether I was at work at home or out and about, a non pharmaceutical intervention that helped to center me and bring me out of the tyrany of cascading thoughts and more in to this moment – the only moment in which we have any say about what goes on. Many years later I interviewed KD for a book and he mentioned a quote by the Indian sage Ramana Maharishi; He said ‘“The only freedom we have is in the moment. How we meet each moment, how we meet each experience.” All the practices we do, bring us more into the moment, give us more of a sense of confidence in ourselves, and in just being. And from that deeper place, we can meet all the difficult things that come to us in life and all of the wonderful things that come to us in life, without being totally washed away by them or absorbed in them or lost in them. We can enjoy the beautiful things and we can allow the unhappy things to exist and pass away again.' Now it's probably imprtant to clarify, mostly for my own understanding as I mix the two up, the difference between Kirtan and bhakti. Kirtan and bhakti are both related to the devotional singing of mantras, sacred names or praises of the divine. However, they are not exactly the same. Kirtan is a form of call-and-response chanting that involves a leader and a group of participants. The leader sings a line of a mantra, and the group repeats it back. Kirtan is usually accompanied by musical instruments such as harmonium, tabla, mridanga, etc. Kirtan is a way of expressing love and devotion to the divine through sound and music. Kirtan can also help to cut through the illusion of separation and connect to the heart and the present moment. Bhakti is a Sanskrit word that means “love, devotion, faith, loyalty, attachment”. Bhakti is one of the paths of yoga that focuses on cultivating a personal relationship with the divine through various practices such as kirtan, bhajan, japa, puja, etc. Bhakti is also a philosophical and theological concept that describes the nature of devotion and surrender to the supreme reality. One of the differences between kirtan and bhakti is that kirtan is a specific practice or technique of bhakti, while bhakti is a broader term that encompasses various forms of devotion. Another difference is that kirtan is usually performed in a group setting, while bhakti can be practiced individually or collectively. A third difference is that kirtan follows a structured format of call-and-response, while bhakti can be more spontaneous and creative in expressing one's feelings and emotions. KD also says of chant more generally ““It's like an older, deeper, bigger being. It's a space, a presence, a feeling. These names are the names of that place inside of us that is love, pure being, pure awareness, pure joy.” Kirtan—and other forms of mantra practice, such as seated meditation—help us uncover that place inside of us, he says: “our true nature.” (Kripalu Centre for Yoga and Health, 2021) Over the follwing years I have adopted a fluid approach to meditation, utilising practices from Vedic, Buddhist and some secular Mindfulness traditions, and varying types of breathwork grounding and awareness of sound meditations. The important point to mention here is, I feel that, as a person living with pain, the last thing you probably need in your life is another stick to beat yourself with about what you should be doing. I think if the promise of a clamer mind, less catastrophising and less pain resonates with you, look for and try something that makes sense, or feels good you. Or more eloquently from the Buddha's teachings: “Do not believe in anything simply because you have heard it. Do not believe in anything simply because it is spoken and rumoured by many. Do not believe in anything simply because it is found written in your religious books. Do not believe in anything merely on the authority of your teachers and elders. Do not believe in traditions because they have been handed down for many generations. But after observation and analysis, when you find that anything agrees with reason and is conducive to the good and benefit of one and all, then accept it and live up to it.” Self Compassion Before we have a go at a practice to draw this to a close, it's essential to add a point that I touched on very briefly before, and that's the point of self-compassion. The most succinct way I've heard described, was by Liz Stanley: “I would just say it's really important (for listeners) to recognize that one of the ways we actually make things worse for ourselves, is when we let our thinking brains judgments about what might be going on in our mind and body, kind of get stuck because those judgements actually make things worse. So, to give an example, if somebody is experiencing chronic pain, and they're feeling self-judgment, or shame, or impatience, or anger, about the fact that they are feeling chronic pain, that kind of judgment and any narrative that the thinking brain might be kicking up around it ‘it shouldn't be this way', you know it was doing better, I should have done my exercises, any sort of stories that might be there, when the thinking brain does that, the survival brain perceives those thinking brain judgements as threatening. And so, it turns on even more stress arousal. So, if someone's experiencing discomfort and then they're judging it, they're actually making that stress arousal. Likewise, we often have habits to compare what's going on in us with someone else. Like we might experience a wave of anxiety about an upcoming test or something. And then the thinking brain's like, well, I shouldn't be anxious about that, that's not really a big deal. You know, this other person, well, they're dealing with this and this and this and this in comparison, what I'm dealing with is really not a problem. You can hear the judgment in that. And when the thinking brain starts, those kinds of comparing thoughts that devalue what's going on in our body, again, the survival brain finds that challenging, and it will turn on more stress arousal. So as much as possible, if someone is experiencing a wave of emotion or a wave of stress or defaulting to engage in a coping mechanism that they might not want to be engaging in, a habit they wish they could break - as much as possible just meet that experience with some kindness, and see if you can set that judging aside, because the judging is only making it worse. It's only making the, the survival brain that much more amped up.” (Coriat, Dr Christine Runyan - Mental Health and covid - on forgiveness and healing 2021) That's the last thing I really wanted to say, Nick, because I know it's something I really struggled with” Practice References Music throughout the podcast Das, K. (2007). Gathering in the light-Om-Narayani. Krishna Das. https://krishnadasmusic.com/collections/music/products/gathering-in-the-light Other References Haggai et al, S. (2016, July). Mindfulness meditation modulates pain through endogenous opioids. The American Journal of Medicine. https://www.amjmed.com/article/S0002-9343(16)30302-3/fulltext Zeidan et al., F. (2023, February). Disentangling self from pain: mindfulness meditation–induced pain relief is driven by thalamic–default mode network decoupling. Journal for the International Association for Pain. https://journals.lww.com/pain/Fulltext/2023/02000/Disentangling_self_from_pain__mindfulness.8.aspx Powell, A. (2018, August 27). Harvard researchers study how mindfulness may change the brain in depressed patients. Harvard Gazette. https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients/ Tsagkaris, C., Papazoglou, A. S., Eleftheriades, A., Tsakopoulos, S., Alexiou, A., Găman, M.-A., & Moysidis, D. V. (2022, March 14). Infrared radiation in the management of musculoskeletal conditions and chronic pain: A systematic review. European journal of investigation in health, psychology and education. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8946909/ Hecht, M. (2020, September 4). Meditation for pain relief: What to know & how to try it. Healthline. https://www.healthline.com/health/meditation-for-chronic-pain Asmundson, G. J. (2022, December 2). PTSD and the experience of pain: Research and clinical implications of shared vulnerability and mutual maintenance models. Canadian journal of psychiatry. Revue canadienne de psychiatrie. https://pubmed.ncbi.nlm.nih.gov/12553128/ Coriat, N. (2022, October 20). Dr Daniel Harvey - The path through pain. Don't Quit on Me. https://www.podpage.com/dont-quit-on-me/dr-daniel-harvey-the-path-through-pain/ Coriat, N. (2021, March 11). Sebene Selassie - belonging in an age of disconnect. Don't Quit on Me. https://www.podpage.com/dont-quit-on-me/s1e3 Coriat, N. (2021, December 31). Dr Christine Runyan - Mental Health and covid - on forgiveness and healing. Don't Quit on Me. https://www.dontquiton.me/dr-christine-runyan-mental-health-and-covid-on-forgiveness-and-healing/ Center for Yoga and Health, K. (2021, July 11). The Beginners' Guide to Kirtan and Mantra. Kripalu. https://kripalu.org/resources/beginners-guide-kirtan-and-mantra
In this enlightening episode of the MasterSessions Pain Matters Podcast, join renowned pain researcher Lorimer Moseley and the Bart van Buchem as they delve into the fascinating story of Lorimer's early career in the world of pain research. Lorimer shares his unexpected path from being a physiotherapy student to becoming a respected academic, all thanks to a motivating lecturer who saw his potential. Discover how a chance clinical encounter with a senior academic changed the course of Lorimer's career, leading him into the realm of scientific research. Listen in as Lorimer reflects on the pivotal moment he crossed paths with David Butler, a prominent figure in manual therapy, and how this encounter reignited his passion for exploring the complexities of pain management beyond the traditional biomechanical perspective. Explore the origins of Lorimer's first scientific paper during his PhD journey and how it laid the groundwork for his ongoing contributions to the field of pain research. Discover the enduring relevance of his early work and the insights that continue to shape our understanding of pain today. Whether you're an aspiring researcher, clinician, or simply curious about the evolution of pain science, this episode offers a captivating glimpse into the roots of Lorimer Moseley's extraordinary career. Tune in to uncover the rich history of pain research and gain valuable insights for your own journey in the field. More about Lorimer and courses: https://www.mastersessions.academy/ Comments, feedback and questions are welcome! mail@mastersessions.acedemy
The inaugural episode of the "Pain Matters Podcast" with Professor Lorimer Moseley, titled "Why Pain Matters," delves into the profound significance of pain in our lives and society. Professor Moseley explores the multifaceted impact of pain on individuals, communities, healthcare, and research funding. Pain touches the lives of countless individuals, affecting not only those who experience it but also their loved ones, colleagues, and communities. The discussion highlights the far-reaching implications of pain, encompassing reduced quality of life, social isolation, decreased productivity, and its association with various health conditions. Despite pain being a significant contributor to disability and suffering, it often receives inadequate attention and funding compared to other health issues. Professor Moseley draws inspiration from two triggers: the Pain Revolution rural outreach tour and preparing a grant application. The Pain Revolution tour exposes the immense need for pain education and management in rural communities, demonstrating that pain is often undertreated. Furthermore, the grant application process reveals a broader issue: the prevailing but outdated beliefs about the nature of pain, hindering progress in pain research and treatment. The podcast aims to challenge these entrenched views and initiate conversations about pain's complexity, its psychological aspects, and the need for a paradigm shift in understanding and addressing chronic pain. Professor Moseley, with his extensive background in physiotherapy and neuroscience, is committed to exploring the intricacies of human pain perception, the brain's role, and how society perceives and responds to pain. In future episodes, the podcast promises to delve into the history of chronic pain research and share insights from Professor Moseley's extensive experience in the field. With an emphasis on demystifying pain and advocating for a more comprehensive understanding, "Pain Matters with Lorimer Moseley" aims to contribute to the ongoing conversation surrounding pain and its impact on individuals and society. Check out: https://www.mastersessions.academy/ #PainMatters #ChronicPain #PainAwareness #PainManagement #Neuroscience #HealthPodcast #PainRelief #PainEducation
This is the 'Why Pain Matters' Podcast - with Lorimer Moseley So, from now until whenever, we will be covering matters of pain and why pain matters. Short, hopefully interesting accounts of things I reckon are important or fascinating or challenging or troubling. I will enjoy it and I really hope you do too! I am not too sure on where exactly to start – there is so much good stuff going around. If the podcast goes down well we might start taking requests, And on that, I have wondered about the marker of success and I guess, as much as I am resistant to the modern penchant for soliciting followers and ‘influence', I imagine that some combination of feedback, use and reach will be relevant. I am sure, however, that the most relevant marker will be whether or not this is adding to my life, not yours. Don't mean to sound harsh, but that is, for me, the metric of choice. About Lorimer: I want you to know the bare minimum relevant facts about me. I have an honours degree in physiotherapy, a phd in neuroscience. I have been interested in chronic pain for about 35 years and have engaged with it from lived experience, clinical care, research and advocacy perspectives. I am fascinated by humans – I suspect I always have been – and I find biological systems and governing principles extraordinary and very very cool. I believe that understanding things is worth the effort and accepting things we don't understand is completely ok if we are neither bothered by it nor shirking it because it is too hard or inconvenient. I have a deep respect for the capacity with which we are all endowed to automatically protect ourselves and our loved ones, even when the strategies we select – or that are selected for us by our fearfully and wonderfully complex biology, end up being less than ideal or counterproductive. More info about Lorimer courses: https://mastersession.academy
Lorimer's excitement in both work and life stems from a profound interest in the challenge of chronic pain. The more he learns about the workings of pain, including the biological processes involved and the experiences people go through, the more he is captivated by the complexity of this issue. The complexity of pain is awe-inspiring, highlighting the incredible nature of human beings. Recent advancements in pain research have revealed that the degree of complexity is far greater than what was previously believed a decade ago. Professor Lorimer Moseley is a highly respected and renowned figure in the field of pain science and neuroscience. He has made significant contributions to our understanding of chronic pain and has played a crucial role in challenging traditional beliefs and perceptions surrounding this complex phenomenon. Lorimer obtained his academic qualifications at the University of South Australia, where he completed his Bachelor's degree in Physiotherapy. He then went on to earn his Ph.D. in the field of neuroscience from the University of Sydney. Throughout his academic journey, Lorimer developed a deep fascination with pain and its intricate mechanisms. As a leading expert in the field, Lorimer has held prominent positions at various prestigious institutions. He has served as a Professor of Clinical Neurosciences and the Inaugural Chair in Physiotherapy at the University of South Australia. Additionally, he has been involved with the Body in Mind research group, which focuses on advancing our understanding of pain and rehabilitation. Lorimer's groundbreaking research and innovative approach to pain science have garnered widespread recognition. He has published numerous influential papers in scientific journals and has authored and co-authored several books that have become authoritative resources in the field. Through his work, Lorimer challenges conventional theories and encourages a more comprehensive understanding of pain as a complex biopsychosocial phenomenon. Beyond his academic achievements, Lorimer is known for his engaging and passionate teaching style. He frequently presents at international conferences, delivers captivating TED talks, and provides educational workshops to healthcare professionals. His ability to translate complex scientific concepts into accessible language has made him a sought-after speaker and educator. #chronicpain #lorimermoseley #complexity
Is "Pain weakness leaving the body" or is pain an indication that something is wrong? According to Dr, Lorimer Moseley - neither! Dr. Lorimer Moseley is a pain scientist, educator and clinician. He has authored over 400 scientific articles and seven books. His contribution to our understanding of how pain works, why pain sometimes persists, and what can be done to reduce persisting pain, has been recognised by awards or prizes in 14 different countries. In 2020 Dr. Moseley was made an Officer of the Order of Australia, his country's second highest civilian honor, for 'Distinguished service to humanity at large in the fields of pain and its management, science communication, medical education and physiotherapy." He lives and works in Kaurna County in Adelaide, South Australia. //TIMESTAMPS (00:00) Pain: It's not what you think! With Dr. Lorimer Moseley (04:00) Jon leads Opening Grounding Practice (~1 min) (07:00) Acknowledging and honoring the Kaurna people (08:00) What exactly is pain? (21:00) Pain is in the brain (36:00) The Protect-o-meter! (43:00) Mindfulness and pain (55:00) Why are we attached to pain? (1:10:00) Will leads Closing Practice (~ 1 min) //LINKS Pain Revolution - https://www.painrevolution.org/ Tame the Beast - https://www.tamethebeast.org/ Dr. Moseley's books - https://www.noigroup.com/shop/ //WHERE YOU CAN FIND US Website - http://mentalkingmindfulness.com/ Listen on Spotify - https://bit.ly/MTM-Podcast Listen on Apple Podcast - https://bit.ly/MTM_Apple_Podcast Watch on YouTube - https://youtube.com/@mentalkingmindfulness Instagram - https://www.instagram.com/mentalkingmindfulness Follow Will - https://www.instagram.com/willnotfear/ Follow Jon - https://www.linkedin.com/in/jonmacaskill Join the MTM Facebook Group - https://www.facebook.com/groups/153173176744665
Tim Beames is the co-founder of Le Pub Scientifique and also co-author of the Graded Motor Imagery (GMI) Handbook alongside Lorimer Moseley and David Butler. Tim talks about what GMI is, how this has changed over the years, what attributes a clinician needs to use GMI with a patient and where research is taking us in the evolution of GMI. If you want to become really confident treating pain join us with Le Pub Premium Membership. Sign up at www.lepubscientifique.com If you'd like to get in touch with Le Pub here's how: Email: lepubscientifique@gmail.com Twitter: @lepubscientifiq Instagram: @lepubscientifique LinkedIn: @LePubScientifique Join the Le Pub Community on Facebook: Le Pub Scientifique
Physical pain is a universal human experience. And for many of us, it's a constant one. Roughly 20 percent of American adults — some 50 million people — suffer from a form of chronic pain. For some, that means having terrible days from time to time. For others, it means a life of constant suffering. Either way, the depth and scale of pain in our society is a massive problem.But what if much of how we understand pain — and how to treat it — is wrong?Rachel Zoffness is a pain psychologist at the University of California, San Francisco, School of Medicine and the author of “The Pain Management Workbook.” We tend to think of pain as a purely biomechanical phenomenon, a physical sensation rooted solely in the body. But her core argument is that pain is also produced by the mind and deeply influenced by social context. It's a simple-sounding argument with vast implications not only for how we experience pain but also for how we treat it. She points to numerous underused tools — aside from pills and surgeries — that can help lessen our pain.We discuss Zoffness's surprising definition of how pain serves as “the body's warning signal”; how our mood, stress levels and social environment can amplify or dial down our pain levels; what phantom limb syndrome says about how the brain “makes pain”; how our emotions and trauma influence our pain levels; the crucial difference between “hurt” and “harm”; why studies on back pain have yielded such bewildering results about the sources of perceived pain; how to figure out and improve your personal “pain recipe”; the roots of our chronic pain crisis and how our health care system could be better set up to treat it; why she says, “If the brain can change, pain can change”; and more.Mentioned:“Neuroimaging of Pain” by Katherine T. Martucci and Sean C. Mackey“Targeting Cortical Representations in the Treatment of Chronic Pain” by G. Lorimer Moseley and Herta Flor“Psychological Pain Interventions and Neurophysiology” by Herta Flor“Sham Surgery in Orthopedics” by Adriaan Louw, Ina Diener, César Fernández-de-las-Peñas and Emilio J. Puentedura“Systematic Literature Review of Imaging Features of Spinal Degeneration in Asymptomatic Populations” by W. Brinjikji, P.H. Luetmer, B. Comstock et al.“A Biological Substrate for Somatoform Disorders: Importance of Pathophysiology” by Joel E. Dimsdale and Robert Dantzer“Undergraduate Medical Education on Pain Management across the Globe” by Nalini Vadivelu, Sukanya Mitra and Roberta L. Hines“Lifestyle medicine for depression” by Jerome Sarris, Adrienne O'Neil, Carolyn E Coulson, Isaac Schweitzer and Michael BerkBook Recommendations:Why Zebras Don't Get Ulcers by Robert M. SapolskyThe Body Keeps the Score by Bessel van der KolkPain by Patrick WallThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.“The Ezra Klein Show” is produced by Emefa Agawu, Annie Galvin, Jeff Geld, Roge Karma and Kristin Lin. Fact-checking by Michelle Harris and Kate Sinclair. Mixing by Sonia Herrero and Isaac Jones. Original music by Isaac Jones. Audience strategy by Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Carole Sabouraud and Kristina Samulewski.
This episode I talked about how our experience with pain is influenced by psychological factors and the complexity of the human body/ brain. My own injuries and experiences with pain have allowed me to understand my own experience with anxiety more and I find it incredible how our brains/ bodies work. This episodes quote: Your body can't stand almost anything. It's your mind you have to convince. Links to the videos mentioned: Lorimer Moseley's Ted Talk https://www.youtube.com/watch?v=gwd-wLdIHjs Mysterious Science of Pain https://www.youtube.com/watch?v=eakyDiXX6Uc
In session 101 Lorimer Moseley stated "Nociception is neither sufficient nor necessary for pain" There was a good deal of pushback on social media regarding this and Asaf Weisman has stepped up to discuss why that is. Jack and Asaf discuss nociception from an evolutionary stand point and why this is important, they then go on to discuss the brain centric nature of research. Its a complex evolving conversation and one thing everyone can agree on is definitions need to be agreed upon! Sponsored by rehabmypatient.com get 3 months free exercise prescription and virtual appointment software HERE
Lorimer Moseley's Quiz for Clients About Pain Science OT Elevate: The Biopsychosocial Approach to Colorectal ConditionsLindsey's NewsletterTed TalksPredictive Processing as a Theory to Understand Pain with Mick ThackerWhy do we hurt? by Professor Lorimer MoseleyPodcasts One Thing pain podcast with Mick ThackerPain Science and Sensibility with Sandy Hilton & Cory BlickenstaffThe Healing Pain podcast by Dr Joe TattaBooksExplain Pain by David Butler and Lorimer Moseley The Explain Pain Handbook: Protectometer by Lorimer Moseley & David Butler. Permission to Move by Dave Moen and Farrin FosterOther ResourcesReal Stories of RecoveryThe Neuroscience of Creativity, Perception, and Confirmation Bias with Beau LottoFree course in mindfulness is offered by Monash UniversityZiva Meditation
Take a look in the mirror! Have you ever used mirror box therapy to help restore normal movement patterns? Join us where we reunite with Miranda Materi OTD, OTR/L, CHT from Phoenix, AZ discuss how Mirror Box Therapy can help with many different diagnoses from amputations to CRPS and even just stiffness. Miranda dives into how Mirror Box Therapy can be built at home in a “do it yourself” fashion or references where to buy a Mirror Box Kit. Please refer below for newer research articles found to support use of Mirror Box Therapy with your hand patients! CRPS and Mirror Box G. Lorimer Moseley, Alberto Gallace, Charles Spence, Is mirror therapy all it is cracked up to be? Current evidence and future directions, PAIN,Volume 138, Issue 1,2008,Pages 7-10, ISSN 0304-3959 https://doi.org/10.1016/j.pain.2008.06.026. (https://www.sciencedirect.com/science/article/pii/S0304395908003710) Amputees and Mirror Box Timms, Jason, and Catherine Carus. "Mirror therapy for the alleviation of phantom limb pain following amputation: A literature review." International Journal of Therapy and Rehabilitation 22.3 (2015): 135-145. Stroke and Mirror Box Thieme H, Morkisch N, Mehrholz J, Pohl M, Behrens J, Borgetto B, Dohle C. Mirror therapy for improving motor function after stroke. Cochrane Database of Systematic Reviews 2018, Issue 7. Art. No.: CD008449. DOI: 10.1002/14651858.CD008449.pub3. Accessed 05 October 2022. Hand Trauma and Mirror Box Grünert-Plüss, Nicole, et al. "Mirror therapy in hand rehabilitation: a review of the literature, the St Gallen protocol for mirror therapy and evaluation of a case series of 52 patients." The British Journal of Hand Therapy 13.1 (2008): 4-11.
Daniel is a Lecturer in musculoskeletal physiotherapy and a pain scientist at the University of South Australia. His research focuses on new approaches to chronic pain that leverage new technologies and modern understandings of body-related perceptual processes. Along with Lorimer Moseley, Daniel is an author of the book 'Pain and The Nature of Perception: A New Way to Look at Pain' which uses visual illusions to describe features of perception that are relevant to understanding and treating pain. Daniel holds a Master of Musculoskeletal and Sports Physiotherapy, a chronic-pain focused PhD, and serves on the education committees for the Australian Pain Society and Pain Revolution. https://www.noigroup.com/product/pain-and-perception/ Twitter Close Support the show
WE ARE BACK, we said we would do some special episodes and we absolutely couldn't turn away the opportunity to interview the one and only Lorimer Moseley who is, of course, an absolute legend. You won't get an interview with Lorimer like this anywhere else. - Is nociception necessary for pain? - Is pain a sensation or a perception? It is all answered and a whole lot more!
In episode 380 of the Mechanical Care Forum, we're continuing with season 12 and we're spotlighting important books related to our field of conservative care of musculoskeletal disorders. This week we have Dr. Lorimer Moseley and his book, Explain Pain, a book to educate patients about their pain. We talk about where the idea of this book came with his coauthor David Butler, the principles found within the book, who needs to hear it, some related projects, and other books associated with this effort to help people make their way out of persistent pain and plenty more. To hear the entire episode go to your favorite podcast player or go to www.mechanicalcareforum.com
More stories, wisdom, encouragement, and helpful strategies for anyone with chronic pain, from musician Chrissy Van Dyke, coach Alex Bollag, psychotherapist Lisa Jones and medicinal herbalist Clare McQuade. If you suffer with chronic pain you're not alone, and there is hope...Part 2 of 2Profanity warning: occasional swearingIn order of appearance:Chrissy Van Dyke, musician and Alexander Technique teachersoundcloud.com/chrissyvandyke(If you would like help with chronic pain, the following three practitioners offer different, all excellent and highly recommendable services)Psychotherapist Lisa Joneslisajonescoaching.co.ukAlexandra Bollag, coaching for people with chronic painalexandrabollag.comClare McQuade, medicinal herbalist: stoneroot.life/herbal-medicine---Further useful information from pain expert Professor Lorimer Moseleytamethebeast.org
Lorimer is Bradley Distinguished Professor in Clinical Neuroscience, Foundation Chair in Physiotherapy and Director of IIMPACT in Health at the University of South Australia. His main interests are persistent pain and other protective feelings. His research group investigates pain in humans, from cognitive and behavioral experiments to clinical trials and implementation studies. He has authored over 350 scientific articles and seven books. He has received international awards for his contributions to the science of pain, the treatment of persistent pain, to pain and health education, and for his public outreach initiatives. In 2017 he founded the not for profit Pain Revolution and in 2020 he was made an Officer of the Order of Australia, that country's second highest civilian honor, for ‘distinguished served to humanity at large in the fields of pain and its management, science communication, education and physiotherapy.' He lives and works on Kaurna Land in Adelaide, South Australia.
This is a replay of the listener-favourite podcast with the pioneer Professor Lorimer Moseley to supplement the other podcasts released on chronic pain. Enjoy! Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Professor of Clinical Neuroscience and Chair in Physiotherapy at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He leads the Body in Mind Research Group, based at the University of South Australia which investigates the role of the brain and mind in chronic pain. He has published over 310 papers, six books for clinicians and patient workbooks, and numerous book chapters/. He is a strategic adviser for PAIN, associate Editor for the Journal of Pain, the European Journal of Pain and the British Journal of Sports Medicine. More "pain" info, including websites mentioned, videos, images and courses at https://thegpshow.com/bookshelf/painmedicine/ Interested in studying lifestyle medicine, health coaching and new models of care in health and wellbeing? Check out the JCU postgraduate courses: Grad Cert, Grad Diploma, and Master. If you find this podcast valuable then subscribing, sharing, rating it 5 stars and leaving a review is appreciated. If you would like to provide feedback or request a topic, please contact me via thegpshow.com Thank you for listening and your support.
Lorimer is Bradley Distinguished Professor in Clinical Neuroscience, Foundation Chair in Physiotherapy and Director of IIMPACT in Health at the University of South Australia. His main interests are persistent pain and other protective feelings. His research group investigates pain in humans, from cognitive and behavioral experiments to clinical trials and implementation studies. He has authored over 350 scientific articles and seven books. He has received international awards for his contributions to the science of pain, the treatment of persistent pain, to pain and health education, and for his public outreach initiatives. In 2017 he founded the not for profit Pain Revolution and in 2020 he was made an Officer of the Order of Australia, that country's second highest civilian honor, for ‘distinguished served to humanity at large in the fields of pain and its management, science communication, education and physiotherapy.' He lives and works on Kaurna Land in Adelaide, South Australia.
My guest today is Leanne Rath! (FACP) Leanne a is physiotherapist practicing at Physiosports, Brighton, Melbourne Australia. She is sought after as an educator and mentor to the profession. She is a keynote in the Physiosports Education platform and is an invited speaker on Lorimer Moseley's MasterSessions later in 2022, an online worldwide pain conference exploring “Less Pain, Better Performance” She is currently involved in projects through the University of South Australia, Tash Stanton's Knee Osteoarthritis & Pain Education Trial and is working in partnership with researches at Victoria University who have experience in athlete mental health and well being, as a Clinical Investigator, exploring Pain and Performance in lifeShe has held an Adjunct Fellow position at The University of Queensland (2016-2019) exploring the function of Adductor Magnus in gait and hip/groin rehabilitation exercises. She is passionate about athlete-centred care and finding common ground in contemporary clinical and coaching approaches.Leanne has worked with the Australian Ballet and the Australian Institute of Sport (1995-2005), and many of Australia's highest performing athletes as a Sports Physiotherapist which included her time as a member of the Australian medical team at the Olympic Games (Sydney 2000) and the Commonwealth Games (Manchester 2002).She is passionate about athlete-centered care and finding common ground in contemporary clinical and coaching approaches.If you like today's episode, leave a review here....If you want to reach me directly, contact me on social media or shoot me @javier@igniteperformance.netEpisode Resources:Leanne's Twitter Physio Sports Website Leeane's WebsiteLess Pain Better Performance Website Leanne's publication on the Adductor MagnusLeeane's email : leanne@physiosports.com.auResearch ArticlesEmbodied Predictive Pain Processing Theory of Pain Credits: Song- "Starstruck" by Freebeats.io
Rajam Roose, a massage therapist and founder of the San Diego Pain Summit, comes onto the HET Podcast to speak about her interest in pain treatment and research, as well as, explain how she was able to bring her dream conference to fruition. Biography: In 2014, Rajam Roose (a massage therapist with an interest in pain treatment and research) was organizing interdisciplinary continuing education workshops for manual and physical therapists in San Diego. During a break at one workshop, she overheard the instructor asking the participants if they were learning current pain research in their programs. If they were familiar with pain research experts such as Patrick Wall, David Butler, Lorimer Moseley, etc. The students nodded their heads, and one spoke out and replied: "Yes, we were taught current pain research at my school but I have no idea how to apply it into my practice." Rajam realized there needed to be an event where participants could learn clinical applications of pain research that would be directly relevant to their work. Without any prior experience organizing or managing a conference, Rajam created this multidisciplinary pain management conference and found success from the start. Over the years, the San Diego Pain Summit has evolved into an event where clinicians learn how to have a person-centered practice. View the historical list of all speakers/presentations. The San Diego Pain Summit is on a mission to change how pain is managed and treated in the healthcare industry by organizing conferences and workshops where clinicians can learn up to date pain education and research. The Summit also includes voices representing the patient's lived experience, which is an integral part of creating person centered care.
In this episode I discuss why back pain is such a debilitating injury and the statistics behind it, the difference between acute and chronic back pain, what the "best" recovery routine is and then a 5 step simplified process of the road to recovery from chronic back pain.Below are the two links I was referring to in the episode, both by Professor Lorimer Moseley who is a clinical scientist investigating pain in humans.Why Things Hurt Ted TalkPain LectureTake My FREE Pain Quiz And Get An Instant Action Plan... so you know EXACTLY what to do to fix your ache, niggle, pain or injury: https://resiliencerehab.com.au/free-pain-quiz/Fix Even The Most Complicated Ache, Pain Or Plateau... at a FRACTION of the cost of 1-1 coaching... https://resiliencerehab.com.au/free-pain-quiz/Join My Private Email List... for all updates and bonus education/content: https://resiliencerehab.com.au/email-list/Take Advantage Of Your FREE Complimentary Strategy Call... to bridge the gap between where you are and where you want to be: https://calendly.com/resiliencerehab/pain-codex-strategy-call
Dr. Ebonie Rio is a post doc researcher at La Trobe University and has completed her PhD in tendon pain and a Masters in Sports Physiology. She is a leading researcher in tendon pain and rehab at La Trobe University in Australia.She drops tons of knowledge in this episode including the types of load that can irritate tendons, the importance of single leg training, Lorimer Moseley's questions around self efficacy, ways to explain the murky ups and downs that come with tendon pain, and more! Listen in for a number of clinical pearls on diagnosis and treatment for simplifying these complicated issues. Find her on twitter at https://twitter.com/tendonpainAs always, find more information about courses at https://www.mwri.co and follow us on Instagram to keep up with Clinical Leadership Podcast updates!PS: Please help us grow our youtube channel! Like and subscribe HERE!
A 3-day conference in San Diego, during a wet and miserable February back home in England? Where do we sign up?! Yes, Matt has managed to finagle his way to attending the 2022 San Diego Pain Summit - but what is it, and why is it such an important conference? Rajam Roose, former massage therapist and founder and CEO of The San Diego Pain Summit, joins The Massage Collective to fill us in on the history of the summit - how it grew from the need for an event where participants could learn clinically relevant applications of pain research, how getting the first years Keynote speaker (Lorimer Moseley!) was a game changer, how the evening hot tubs and fire-pits result in amazing connections (we're looking at you Adam Meakins & Ben Cormack's Better Clinician Project!), plus how this years summit is shaping up to be the most interactive yet - whether you are there in person or joining online from the comfort of your sofa. The back catalogue of talks hosted on the SDPS website is worth its weight in gold, but the aspect that makes this summit so unique is the opportunity for attendees and speakers to network and learn from each other in a relaxed atmosphere like no other. We highly recommend joining the virtual conference! You can contact Rajam and find out more here; Facebook Twitter
Find out how the pain signal works and learn how to start retraining your brain today. I guide you through a short exercise to help you feel these ideas and get in touch with other, better options for your nervous system.Plus I share some real stories of real people and how this plays out in their very real lives. Don't take my word for it. Listen to these ideas and try them on for yourself in your own life. Put it all to the test and see the results. Leave a comment or question and let's have a conversation!(To watch Lorimer Moseley tell the story of his experience with pain and the snake go here https://www.youtube.com/watch?v=Sjes9CuN6Ko)If you are interested in being one of the 3 people I take on to work with this month, email me at: molly@movetonourish.comOTHER KEY INFODownload Your Free Self-Assessment: Is Your Pain Triggered By Your MindJoin our Free Facebook Community, From Pain To Empowerment: https://www.facebook.com/groups/frompaintofreedom/Follow me at: https://www.facebook.com/movetonourishCheck Out Our Website: https://www.movetonourish.com/
Today's guest is Tina McIntosh the founder of Brain Changer. After over a decade of suffering chronic pain, Tina was desperate for a solution, when she stumbled upon the work of Professor Lorimer Moseley and Dr David Butler and their book, Explain Pain. After reading their book, something clicked and after further research - Tina developed Brain Changer - as a digital self-management system that put neuroscience into pain management. The idea: to help people rethink their way to a pain-free existence. Brain Changer was the ACT winner of our Innov8rs competition and Tina is here today to share a little of her journey.
Today's guest is Tina McIntosh the founder of Brain Changer. After over a decade of suffering chronic pain, Tina was desperate for a solution, when she stumbled upon the work of Professor Lorimer Moseley and Dr David Butler and their book, Explain Pain.After reading their book, something clicked and after further research - Tina developed Brain Changer - as a digital self-management system that put neuroscience into pain management. The idea: to help people rethink their way to a pain-free existence. Brain Changer was the ACT winner of our Innov8rs competition and Tina is here today to share a little of her journey.